Individual
KELSEY GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 S FRETZ AVE STE C, EDMOND, OK 73003-5568
(405) 757-7980
Mailing address
425 S FRETZ AVE STE C, EDMOND, OK 73003-5568
(405) 757-7980
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
11/08/2024
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